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TR-9284
®��® Glenn Goldsmith, President T so Town Hall Annex 54375 Route 25 A. Nicholas Krupski,Vice President AL® P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples ® a® Fax(631) 765-6641 COUNT�,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE 1990C Date: December 14, 2022 THIS CERTIFIES that the removal of the storm damaged dock; in same location as existing construct a proposed 4'x60' fixed dock supported with 8"diameter piles using untreated decking; install a 30"x14' aluminum ramp; install a 6'x20' floating dock using untreated deckingand nd supported with four(4) 10" diameter piles with cross braces to keep the float a minimum of 30" off sand bottom at all times; remove existing fixed bulkhead/dock prior to construction of new dock install If bulkhead return against remainder of existing 31 5'x9' bulkhead,• and for the existing 31 5'x9'deck to remain; 3.5'x6' stairs to beach; establish and perpetually maintain a 10' wide non turf buffer landward of the bulkhead; At 650 Oak Avenue, Southold; Suffolk County Tax Map#1000-77-1-2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated June 15, 2018 pursuant to which Trustees Wetland Permit#9284 Dated July 18, 2018 was issued and Amended on December 14, 2022 and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the removal of the storm damaged dock; in same location as existing construct a proposed 4'x60' fixed dock supported with 8" diameter piles using untreated decking; install a 30"x14' aluminum ramp; install a 6'x20' floating dock using untreated deckingand supported with four(4) 10"diameter piles with cross braces to keep the float a minimum of 30" off sand bottom at all times; remove existing fixed bulkhead/dock prior to construction of new dock, install 9 If bulkhead return against remainder of existing 31.5'x9' bulkhead; and for the existing 31 5'x9'deck to remain; 3.5'x6' stairs to beach; establish and perpetually maintain a 10' wide non turf buffer landward of the bulkhead. The certificate is issued to Thomas& Cat n NWzarelli owner of the aforesaid property. Authorized Signature CC#: C23-13439 COUNTY CLERK'S OFFICE STATE OF NEW YORK COUNTY OF SUFFOLK The Clerk of the County of Suffolk and the Court of Record thereof do hereby certify that I have compared the annexed with the original DECLARATION recorded in my office on 04/17/2023 under Liber D00013197 and Page 620 and, that the same is a true copy thereof, and of the whole of such original. In Testimony Whereof, I have hereunto set my hand and affixed the seal of said County and Court this 04/17/2023 SUFFOLK COUNTY CLERK VINCENT PULEO SEAL SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE 1 Type of Instrument: DECLARATION Recorded: 04/17/2023 Number of Pages: 15 At: 01:54:56 PM Receipt Number : 23-0051359 LIBER: D00013197 PAGE: 620 District: Section: Block: Lot: 1000 077 . 00 01.00 002 .000 EXAMINED AND CHARGED AS FOLLOWS Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $75.00 NO Handling $20 . 00 NO COE $5.00 NO NYS SRCHG $15.00 . NO TP-584 $0.00 NO Notation $0. 00, NO . Cert.Copies $9.75 NO RPT $200. 00 NO Fees Paid $324 .75 THIS PAGE IS A PART OF THE INSTRUMENT THIS IS NOT A BILL Vincent Puleo County Clerk, Suffolk County �0 RECORDED Number of pages 2023 Apr 17 01:54:56 PM Vincent Meo CLERK. OF This document will be public SUFFOLK COUNTS' record. Please remove all L 600013197 P 520 Social Security Numbers prior to recording. Deed/Mortgage Instrument Deed/Mortgage Tax Stamp Recording/Filing Stamps 3 FEES Page/Filing Fee IGioitgage.Amt' 1. Basic Tax Handling 20. 00 2. Additional TA TP-584 Sub To � _ NySp JAssit. Notation _ or EA-52 17(County) Sub Total Spec./Add. EA-5217(State) TOT.MTG.TAX Dual Town Dual County____ R.P.T.S A. Held for Appointment Comm.of Ed. 5• 00 TransferTax Affid � Mansion Tax t- .• The property covered by this mortgage is iCertified Copy or will be improved by a one or two NYS Surcharge 15. 00 family dwelling only. Sub Total YES or NO Other _ Grand Total L r� If NO,see appropriate tax clause on Page# of this' stru nt. 4 Dist. 1000 07700 0100 002000 , / 5041166 5 Community Preservation Fund Real Property P T SIIIII��I�II11111101111 Consideration Amount_$ Tax Service R CGR A (i u E Agency 20-MAR-2 CPF Tax Due $ Verification Improved 6 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD&RETURN TO: Vacant Land TD TD TD Mail to:Vincent Puleo, Suffolk County Clerk 7 Title COMDanv Information 310 Center Drive, Riverhead, NY 11901 Co.Name www.suffolkcountyny.gov/clerk Title# 8 Suffolk County Recording & Endorsement Page This page forms part of the attached ��r�l'A 7-1'OA made by: /f (SPECIFY TYPE OF INSTRUMENT) The premises herein is situated in SUFFOLK COUNTY,NEW YORK. t TO In the TOWN of " 0%ND C In the VILLAGE or HAMLET of BOXES 6 THRU 8 MUST BE TYPED OR PRINTED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. ,aotu..,oroettc (over) DECLARATION OF{COVENANTS THIS DECLARATION made this o(�day of . February, 2023 by THOMAS MAZZARELLI AND CARYN M. MAZZARELLI, residing at 15 Hidden Hollow Lane, Millwood NY 10586 hereinafter referred to as "DECLARANT(S)": J WITNESSETH: WHEREAS, DECLARANT(S) is/are the owners)of certain real property located on 650 Oak Avenue, Southold,Town of Southold, County of Suffolk, State of New York,described in the Suffolk County Tax Map as District 1000, Section 77, Block 1, Lot 2 which is more particularly bounded and described as set forth in Schedule "A" annexed hereto, hereinafter referred to as the Property; WHEREAS, the Property is situated on lands within the jurisdiction of the Board of Trustees of the Town of Southold(hereinafter the Trustees) pursuant to Chapter 275 of the Town Code of the Town of Southold or its successor,and various activities conducted upon the property may thus be subject to the regulation and approval of the Trustees prior to being conducted; WHEREAS,the DECLARANT(S)therefore made application to the Trustees for a permit pursuant to the Wetlands Law of the Town of Southold to undertake certain regulated activities; and WHEREAS,as a condition of the granting of a Wetlands Permit(Exhibit A)to undertake such regulated activities, the Trustees required a 10 foot wide non turf buffer landward of the bulkhead; and WHEREAS,the DECLARANT has considered the foregoing and has determined that the same will be for the best interests of the DECLARANT and subsequent owners of the Property. 1 NOW,THEREFORE,the DECLARANT(S)do/does hereby covenant and agree as follows: 1) Upon the substantial completion of the aforementioned permitted activities there shall be established and maintained,a 10 foot wide non-turf buffer landward of the bulkhead ; as defined by Chapter 275.of the Town Code, as detailed on permit #9284(Exhibit A)and as depicted on the site plan prepared by Jeffrey Patanjo dated August 13, 2018 and stamped approved on August 21,2018. (Exhibit B) 2) These .covenants shall run with the land and shall be binding on the DECLARANT(S), his/her/their heirs, assigns, purchasers, or successors in interest and may only be modified after a public hearing and upon resolution of the Trustees. [signatures-on next page] 2 IN WITNESS WHEREOF,the owner(s)has/have duly executed this instrument this day of February, 2023. r i Thomas Mh=elli C���A Caryn—M-M zoarelli STATE OF NEW YORK) COUNTY OF ',atS�C�nes�c� On the \e day of February, in the year 2023, before me the appeared THOMAS MAZARELLI ,personally known to me or proved to me on the basis of satisfactory evidence to be the induvial(s)whose name(s) is/are subscribed to the within instrument and acknowledge to me that he/she/they executed the same in his/her/their capacity,and that by his/her/their signature(s)on the instrument,the individual or the persons on behalf of which the individual(s)acted, executed the instrument GEORGE R HOYT Notary Public, state of New York No.02HO6115°97 salified in v'Jestchnster County ublic Commission Expires September 20,20.L- STATE OF NEW YORK) COUNTY OF Wfsto -'� On the I u�A day of February,in the year 2023, before me the appeared CARYN MAZARELLI ,personally known to me or proved to me on the basis of satisfactory evidence to be the induvial(s)whose name(s) is/are subscribed to the within instrument and acknowledge to me that he/she/they executed the same in his/her/their capacity,and that by his/her/their signature(s)on the instrument, the individual or the persons on behalf of which the individual(s) acted,executed the instrument YT GeogaSt�e oI New lora f t \ \ Notary�io.02H0�1 Uouriry No ubli v to\msse' ember 20120�l Qualified. if • p / �ommiss,on►�� ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in the Town of Southold,all of Plot Nos 282,283unty of u284ffokand 285 on and State a certain mapNew �ent�ledwn aMapnd eof Gaoose ted Bay Estates"the ent the Townn Plot No.281 Town of Southold,County of Suffolk and State of New York,said map being made by Lewis N.Waters,LS of Oyster Bay,LI,New York,dated September 12, 1934 and filed in the Suffolk County Clerk's Office on November 13, 1934 as and by the Map No. 1176(abstract no. 1197)being more particularly bounded and described as follows: BEGINNING at a point on the northwesterly side of Oak Avenue the said point of beginning being the intersection of Plot 286 and the said filed map with the southwesterly corner of the premises described herein; RUNNING THENCE from the road of per beginning north 40 degrees 03'20" west 140 feet to the southerly side of an unnamed RUNNING THENCE along said southerly side of the unnamed'road(as per filed map) 1 p north 49 degrees 56'40"east 90 feet; (TT RUNNING THENCE south 40 degrees 03'20" east 140 feet to the northwesterly of Oak Avenue; RUNNING THENCE-hlong the northwesterlyj side of Oak Avenue south 49 degrees 5640"west 90 feet to the point or place of BEGINNING. asto an undivided est BEING AND INTENDED TO BE the sarne LOWERY dated 5/14/02 recordeconveyed131 03 nrLibed A.Lowery3a e 301 and l�cMES�LOWERY, pg rern by deed from GLORIA trustee of the James Lowery Trust dated May 29,2012 as to an undivided 50%interest by deed from JAMES LOWER dated 5/29/12 recorded 11115/12 in Liber 12711 page 85. FOR INFORMATION.PURPOSES ONLY: Such premises commonly known as 650 Oak Avenue,Southold;IVY, S.C.T.M.# 1000-077.00-01.00-002.000 r 0— W% N 1 31 1:n IN W 5, N, Eft-, A, P 411 h 1 BOARD OF SOUTH TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT N0.9284 DATE: JULY 18,2018 ISSUED TO: THOMAS &CARYN MAZZARELLI Vi 11 PROPERTY ADDRESS: 650 OAK AVENUE,SOUTHOLD Sc TM# 1000-77-1-2 J 1, AUTHORIZATION X1 Pursuant to the Provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at-thy ZO 18 and in e meeting held on Jul18, M. A consideration of application fee in the sum of$250.00 paid by Thomas&Car�n Mazzarelli A and subject Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to remove storm damaged dock;in same location as existing construct a � / proposed 41x601 fixed dock supported with 81,diameter piles Using untreated decking;install a 30"x141 aluminum ramp;install a 61x201 floating dock using untreated decking and supported with four(4) 10"diameter piles with cross braces to keep the float a minimum of 30"off sand W; bottom at an times; remove existing fixed bulkhead/dock prior to construction of new dock, install 9 If bulkhead return against remainder of existing 31.5lx9'bulkhead;and for the 11- hli I existing 31.510'deck to remain;establish and perpetually maintain 1W wide non buffer f4; Iin a turf uff landward of the bulkhead; and as depicted on the revised site plan prepared by Jeffrey Patanjo iNs dated August 13,2018, and stamped approved on August.21,.2018. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this. 11;P -*-I I Ill -%% - Ire, 3FFDJA. qrLGr M, A . .......... r' c v r ..9! ,�4� �� ._ .r .�.7 � �/y A °� � s' tµ a p wn 0�, TERMS AND CONDITIONS The Permittee Thomas&Caryn Mazzarelli residing at 650 Oak Avenue Southold. New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages,of suits arising directly or indirectly as a result of any operation performed pursuant to this permit,and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties,and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely,or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents,and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized,or if,in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice, to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights,title, or interest in real or personal property held or vested in a person not a party to the permit. PROPERTY OWNER: PREPARED BY: THOMAS MAllARELLI JEFFREY PATANJO CARYN MAllARELLI P.O. BOX 582 15 HIDDEN HOLLOW LANE BOHEMIA, NY . 11716 MILLWOOD, NY 10546 631 -484-9332 JJPATANJO®GMAIL.COM Proposed Pier Permit Plans SCALE: 1 "=20' PROPOSED PLAN DATE: 6--1-18 7-24-18 650 OAK AVE 8-13-18 SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: � of 2 TAX MAP N0. 1000-77-1—,2 tsl 19 WATER DEPTH REFERENCED TO MLW AS MEASURED BY J. HEIDECKER, L.S. 4/18 NOTES: 1 . ELEVATIONS SHOWN REFERENCE MEAN LOWER LOW WATER VERTICAL DATUM 2. LOT AREA: 12,600 S.F. / 0.2893 ACRES 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: JOHN C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET RIVERHEAD, NY 11901 SURVEY LATEST DATED 11 -21 -14 �I, f 1 APPROVED BY BOAR® OF TRUSTEES i TOWN OF SOUTHOLD ®ATE r4'p&u S7- 2( t Z l Q _ a�z..%1�,/d..L/LSC' 1 c 20' 1 90.00` ! ----- -- -- N40003120INCD N^•C� f '~l ��0 J _ r -1 53 - ).81 -0.89 -0.57 -0.85 F- 4' 31.5' - �=-M.H.W. _ pte -l— . �-� EXISTING BULKHEAD /DECKw li-J 9, iN49056140' E ® PROPOSED 10' WIDE NON-Tl h �\Z EXISTING ADJACENT DOCK ,--PROPOSED 20' LONG X 6' WIDE FLOATING DOCK SUPPORTED WTH (4) 10"0 PILES AND CROSS BRACES TO KEEP FLOAT MIN. 30" OFF SAND BOTTOM PROPOSED ALUMINUM RAMP 14' LONG X 30" WIDE ,-,�-PROPOSED FIXED ELEVATED PIER 60' LONG X 4' WIDE SUPPORTED WITH 8"0 PILES 0 8' O.C. (TYPICAL ROTH WFS) -2.99 COOSE-� OREEK7 2.88 -2.97 -3.01 2.55 -2 64 Y 73 -2.3'1 -2To 3 2.21 -2-09 - 1 97 y-1 83 -1 .87 - .33 -1 27 1 Glenn Goldsmith,President %Zf SOTown Hall Annex A. Nicholas Krupski,Vice President ®� ®�® 54375 Route 25 P.O. Box 1179 Eric Sepenoski Jr Southold, New York 11971 Liz Gillooly evr Elizabeth Peeples ®@ Telephone(631) 765-1892 Fax(631) 765-6641 ��c®UNT`0,� ' BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD r-fap Non6s,o DATE OF INSPECTION: A n L6,U2-?_ INSPECTED BY: PUJACS Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1 st day of construction % constructed Project complete, compliance inspection COMMENTS: 511mingtciim did ho+ livic ue uvikh Ptv.4 *9284 or NDVgo cd Play>S AppmeA by Tw%Auta - A,4tJ Acvatls+ 211 W6 avid sioxtA AQe--% �ht FvllowiU AJAi-lDh D7 9W%Q AoWh :6 bP_OIG� AMA 6M dOCL - 11A-[ 0V1 nlI.V1S by 111 AfgG bvA A Vit) Wb" hbh-ruVV bv�ky W" CSial \NNcA Of M(Lk Line goyt—lwi 6u Ttr Las beck aThL6U 6J.n ka u -j2 l ssv e. CERTIFICATE OF COMPLIANCE: aV Glenn Goldsmith, President ®��®T- S®�� Town Hall Annex A. Nicholas Krupski,Vice President 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly Telephone(631) 765-1892 Elizabeth Peeples �® ® `�® Fax(631) 765-6641 C0UN11,� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD December 15, 2022 Thomas & Caryn Mazzarelli 650 Oak Avenue Southold, NY 11971 RE: THOMAS & CARYN MAZZARELLI 650 OAK AVENUE, SOUTHOLD SCTM#: 1000-77-1-2 Dear Mr. and Mrs. Mazzarelli: The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wednesday, December 14, 2022: RESOLVED that the Southold Town Board of Trustees APPROVE the Administrative Amendment to Wetland Permit#9284 for the as-built 3.5'x6' stairs to beach; and as depicted on the project plan prepared by Thomas Mazzarelli, received on November 16, 2022, and stamped approved on December 14, 2022. Any other activity within 100' of the wetland boundary requires a permit from this office. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, GI nn Goldsmith President, Board of Trustees GG/dd ll l (o 2o2,2- 6,60 oPve-&VE]"IuF L.�b, t--�y i,9� -A G Z5 -R+F- �c s n►.�G-- s-k-P,A f-g -to 1�okc A (3' s' w k pE x 6' L-0 t,�6-) c Olt p � � E ' VE NOV 9 6 2022 Southold Town Board of Trustees SOFFoc,� Glenn.,-Jsmith,President �0 `vG�� Town Hall Annex A.Nicholas Krupski,Vice President o < 54375 Route 25 Eric Sepenoski CO ,? P.O.Box 1179 Liz Gillooly �.y • ��� -Southold,NY 11971 Elizabeth Peeples l �a Telephone(631)765-1892 Fax(631)765-6641 Southold Town Board of Trustees Field Inspection Report Date/Time: ZZ +.00b Completed in field by: C4irbekk P'tales THOMAS & CARYN MAZZARELLI request an Administrative Amendment to Wetland Permit#9284 for the as-built 3.5'x6' stairs to beach. Located: 650 Oak Avenue, Southold. SCTM#: 1000-77-1-2 Type of area to be impacted: Saltwater Wetland Freshwater Wetland Sound Bay Part of Town Code proposed work falls under: Chapt.275 Chapt. 111 other Typyof Application: Wetland Coastal Erosion Amendment V Administrative Emergency Pre-Submission Violation Notice of Hearing card posted on property: Yes No Not Applicable Info need ed/M��olIdifications/Conditions/Etc.: Present Were: G. Goldsmith N. Kru ki E. Sepenoski L. Gillooly �C• Peeples Glenn Goldsmith,President �Q� s ��� Town Hall Annex A. Nicholas Krupski,Vice President ®mow ®�� 54375 Route 25 P.O. Box 1179 Eric Sepenoski Southold, New York 11971 Liz Gillooly G Telephone(631) 765-1892 Elizabeth Peeples ® y® Fax(631) 765-6641 ®I�C4UNTi,� .0 BOARD OF TOWN TRUSTEES � Q TOWN OF SOUTHOLD F'ap H d DATE OF INSPECTION: Aen't t8,U17_ INSPECTED BY: Perg)ICS Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction % constructed Project complete, compliance inspection COMMENTS: S►11. Ih�qe.c�oyl did nod live ue uvik�n PoYnnii X9284 or ProaocaM Aeprove� TwtAu,% - A4tJ Avatls� 21, 2_08 aw.d siared lie_ -4\e, 611vw* rqa gAlG-hty1 4 han Ln :6 1 PmcG sma inn& 4ocl — hbi on Mims 6r in acm6 uvl 2hb 100" vvin-Nva 6EPty w" eSiabli k%ny Maka►int CERTIFICATE OF COMPLIANCE: GOOSE CREEK EXISTING ADJACENT DOCK PROPOSED 20' LONG X 6' WIDE FLOATING DOCK SUPPORTED WTH (4) 10"0 PILES AND CROSS BRACES TO KEEP FLOAT MIN. 30" OFF SAND BOTTOM PROPOSED ALUMINUM RAMP 14' LONG X 30" WIDE PROPOSED FIXED ELEVATED PIER 60' LONG X 4' WIDE SUPPORTED WITH 8"0 PILES @ 8' O.C. (TYPICAL BOTH SIDES) IN SAME LOCATION AS EXISTING TO BE REMOVED REMOVE EXISTING FIXED BULKHEAD/PIER i-.. PRIOR TO CONSTRUCTION OF NEW PIER 4' VEGETATED WETLANDS LOCATED AS LOCATED (3) BY J. PATANJO ON 4-25-18 �• o _ •-M.Q.W. _ . I I I NW . • .I I PROPO' ED 9 LF BULKHEAD/PIER RETURN 31.5' 1 I STNIf__ 3. ' WIGEXf, Lot-J6 �'j n,.l;`'•,�1., , ,,;, EXISTING BULKHEAD DECK 9' 90.00' APPROVED BY N49056 40 E — �- -- BOARD OF i RUST EES TOWN OF SOUTHOLD CD oPROPOSED 10' WIDE NON-TURF BUFFER I C DATE p6c.#WX 14 2oZ;?, I \, #650 �,• I r— RY \ RESIDENCE I I w 0 of to ECEIVE n r Nov 1 6 2022 z Southold Town Board of Trustees ® — 90.00' S49056140"W OAK AVENUE PROPERTY OWNER: rttLtJANEQ BY: THOMAS MAllARELLI JEFFREY PATANJO CARYN MAllARELLI P.O. BOX 582 15 HIDDEN HOLLOW LANE BOHEMIA, NY 11716 MILLWOOD, NY 10546 631-484-9332 WATER DEPTH REFERENCED TO MLW AS JJPATANJO@GMAIL.COM MEASURED BY J. HEIDECKER, L.S. 4/18 Proposed Pier Permit Plans SCALE: 1"=20' NOTES: 1. ELEVATIONS SHOWN REFERENCE MEAN-LOWER LOW WATER VERTICAL DATUM PROPOSED DPLAN DATE: 6-1-18 2. LOT AREA: 12,600 S.F. / 0.2893 ACRES 7-24-18 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: s50 OAK AVE 8-13-18 SOUTHOLD TOWN OF SOUTHOLD JOHN C. EHLERS LAND SURVEYOR SUFFOLK COUNTY, NY SHEET: 6 EAST MAIN STREET RIVERHEAD, NY 11901 TAX MAP N0. 1000-77-1-2 1 OF 2 SURVEY LATEST DATED 11-21-14 Glenn Goldsmith,President QF SOUTH, Town Hall Annex Michael J. Domino,Vice-President ,`O� ��� 54375 Route -P.O.Box 11799 John M.Bredemeyer III l lx[ Southold,New York 11971 A.Nicholas Krupski G Telephone(631) 765-1892 Greg Williams �� �� Fax(631) 765-6641 �yCOU�rn,��' ---------- ------- --- - --BOARD OF-TOWN-TRUSTFES------ ------------------------- TOWN OF SOUTHOLD July 16, 2020 Thomas & Caryn Mazzarelli 650-Oak Avenue-' - " { Southold, NY 11971= RE: 650,OAK AVENUE, SOUTHOLD SCTM#,1000-77-1-2 Dear Mr. and Mrs. Mazzarelli: .The following action was take-Tr,by1hetSouthold Town Board,,of Trustees,at their Regular Meeting held on Wednesday, July-15 -2020: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Wetland Permit#9284 as issued on July 18, 2018. This is not an approval from any other agency. If you,have any questions, please do not hesitate to contact this office.,,. Sincerely, Glenn Goldsmith President, Board of Trustees GG:dd w; , r June 3, 2020 Southold Town Trustees JUN 2 2020 , Sau�l:,;�u;rwrn 54375 Route 25 '`'"'`'=-------- P.O. Box 1179 Southold, NY 11971 We are writing to inquire about extending Permit #9284. Due to circumstances surrounding COVID-19 we will need to put off construction for the time being. Attached is check #3188 in the amount of $50.00. If additional information is required, please let us know at caryn.m.mazz@gmail.com Sincerely, Caryn & Tom Mazzarelli 650 Oak Avenue Southold, NY 11971 �r%tFF014,- , Glenn Goldsmith, Pres t0�0, COG Town Hall Annex L� Michael J. Domino, Vice-F?rE ;nt ,�� ��q 54375 Route 25 John M Bredemeyer III o _: ;Y - P.O. Box 1179 A Nicholas Krupski o ; . Southold, NY 11971 Greg Williams O�, Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: //�� � �/= Z0 Completed in field by: THOMAS & CARYN MAZZARELLI request a One (1) Year Extension to Wetland Permit #9284 as issued on July 18, 2018. Located: 650 Oak Avenue, Southold. SCTM#: 1000-77-1-2 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 1/ Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency - Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: I have read & acknowledged the foregoing Trustees comments: Agent/Owner.- Present gent/Owner:Present were: J. Bredemeyer M. Domino G. Goldsmith N. Krupski G. Williams Other �'S Michael J.J. Domino, President ti ��o ooG t Town Hall Annex John M. Bredemeyer, III, Vice-President a� y1 P, 54375 Route 25 Glenn Goldsmith y z P.O. Box 1179 A Nicholas Krupski �y • Southold, NY 11971 Greg Williams o Telephone (631) 765-1892 Fax (631) 765-6641 SOUTHOLD TOWN BOARD OF TRUSTEES YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE ACTIVITIES CHECKED OFF BELOW INSPECTION SCHEDULE Pre-construction, hay bale line/silt boom/silt curtain 1St day of construction % constructed When project complete, call for compliance inspection; RON V" BOARD OF SOUTHOLD TOWN TRUSTEES SOUTHOLD,NEW YORK PERMIT NO. 9284 DATE: JULY 18, 2018 ISSUED TO: THOMAS & CARYN MAZZARELLI PROPERTY ADDRESS: 650 OAK AVENUE, SOUTHOLD SCTM# 1000-77-1-2 AUTHORIZATION Pursuant to the provisions of Chapter 275 of the Town Code of the Town of Southold and in accordance with the Resolution of the Board of Trustees adopted at the meeting held on July 18, 2018, and in . ..... consideration of application fee in the sum of$250.00 paid by Thomas & Caryn Mazzarelli and subject to the Terms and Conditions as stated in the Resolution,the Southold Town Board of Trustees authorizes and permits the following: Wetland Permit to remove storm damaged dock; in same location as existing construct a proposed 41x601 fixed dock supported with 811 diameter piles using untreated decking; install a 30"x141 aluminum ramp; install a 61x201 floating dock using untreated decking and supported with four(4) 10" diameter piles with cross braces to keep the float a minimum of 30" off sand bottom at all times; remove existing fixed bulkhead/dock prior to construction of new dock, install 9 If bulkhead return against remainder of existing 31.51x9l bulkhead; and for the existing 31.5'x9'deck to remain; establish and perpetually maintain a 10' wide non turf buffer landward of the bulkhead; and as depicted on the revised site plan prepared by Jeffrey Patanjo dated August 13,2018, and stamped approved on August 21,2018. IN WITNESS WHEREOF,the said Board of Trustees hereby causes its Corporate Seal to be affixed, and these presents to be subscribed by a majority of the said Board as of this. f 40, W V=o TERMS AND CONDITIC_. The Permittee Thomas &CMm Mazzarelli residing at 650 Oak Avenue Southold New York as part of the consideration for the issuance of the Permit does understand and prescribe to the following: 1. That the said Board of Trustees and the Town of Southold are released from any and all damages, or claims for damages, of suits arising directly or indirectly as a result of any operation performed pursuant to this permit, and the said Permittee will,at his or her own expense, defend any and all such suits initiated by third parties, and the said Permittee assumes full liability with respect thereto,to the complete exclusion of the Board of Trustees of the Town of Southold. 2. That this Permit is valid for a period of 24 months,which is considered to be the estimated time required to complete the work involved,but should circumstances warrant,request for an extension may be made to the Board at a later date. 3. That this Permit should be retained indefinitely, or as long as the said Permittee wishes to maintain the structure or project involved,to provide evidence to anyone concerned that authorization was originally obtained. 4. That the work involved will be subject to the inspection and approval of the Board or its agents, and non-compliance with the provisions of the originating application may be cause for revocation of this Permit by resolution of the said Board. 5. That there will be no unreasonable interference with navigation as a result of the work herein authorized. 6. That there shall be no interference with the right of the public to pass and repass along the beach between high and low water marks. 7. That if future operations of the Town of Southold require the removal and/or alterations in the location of the work herein authorized, or if,in the opinion of the Board of Trustees,the work shall cause unreasonable obstruction to free navigation,the said Permittee will be required, upon due notice,to remove or alter this work project herein stated without expenses to the Town of Southold. 8. The Permittee is required to provide evidence that a copy of this Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety(90)calendar days of issuance of this permit. 9. That the said Board will be notified by the Permittee of the completion of the work authorized. 10. That the Permittee will obtain all other permits and consents that may be required supplemental to this permit,which may be subject to revoke upon failure to obtain same. 11. No right to trespass or interfere with riparian rights. This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Michael J.Domino,President �o���f S0 y�lO Town Hall Annex John M.Bredemeyer III,Vice-President 54375 Route 25 P.O.Box 1179 Glenn GoldsmithCA Southold,New York 11971 A.Nicholas Krupski 2:* pQ Telephone (631) 765-1892 Greg Williams Ol�•`,DUi Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD August 21, 2018 Jeffrey Patanjo P.O. Box 582 Bohemia, NY 11716 RE: THOMAS & CARYN MAZZARELLI 650 OAK AVENUE, SOUTHOLD SCTM# 1000-77-1-2 Dear Mr. Patanjo: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, July 18, 2018 regarding the above matter: WHEREAS, Jeffrey Patanjo on behalf of THOMAS & CARYN MAZZARELLI applied to the Southold Town Trustees for a permit under the provisions of Chapter 275 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated June 15, 2018, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council and to the Local Waterfront Revitalization Program Coordinator for their findings and recommendations, and, WHEREAS, the LWRP Coordinator recommended that the proposed application be found Inconsistent with the LWRP, and, WHEREAS, the Board of Trustees has furthered Policies 6.3 and 9.3 of the Local Waterfront Revitalization Program to the greatest extent possible through the imposition of the following Best Management Practice requirements; removal of that portion of the catwalk with sideboards and replace with thru-flow decking; the installation of a 10' wide non-turf buffer, the issuance of new plans depicting size of current deck along shoreline, and WHEREAS, a Public Hearing was held by the Town Trustees with respect to said application on July 18, 2018, at which time all interested persons were given an opportunity to be heard, and, 2 WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 275 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that for the mitigating factors and based upon the Best Management Practice requirement imposed above, the Board of Trustees deems the action to be Consistent with the Local Waterfront Revitalization Program pursuant to Chapter 268-5 of the Southold Town Code, and, RESOLVED, that the Board of Trustees approve the application of THOMAS & CARYN MAZZARELLI to remove storm damaged dock; in same location as existing construct a proposed 4'x60' fixed dock supported with 8" diameter piles using untreated decking; install a 30"x14' aluminum ramp; install a 6'x20' floating dock using untreated decking and supported with four(4) 10" diameter piles with cross braces to keep the float a minimum of 30" off sand bottom at all times; remove existing fixed bulkhead/dock prior to construction of new dock, install 9 If bulkhead return against remainder of existing 31.5'x9' bulkhead; and for the existing 31.5'x9'deck to remain; establish and perpetually maintain a 10' wide non turf buffer landward of the bulkhead; and as depicted on the revised site plan prepared by Jeffrey Patanjo dated August 13, 2018, and stamped approved on August 21, 2018. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of$50.00 per inspection. (See attached schedule.) Fees: $935.00 Very truly yours, 0 Michael J. Domino President, Board of Trustees MJD/dd Michael J. Domino, President Town Hall Annex John M. Bredemeyer, III, Vice-President a 54375 Route 25 Glenn Goldsmith o P .O. Box 1179 A Nicholas Krupski 41 �o�;r Southold, NY 11971 Greg Williams , Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD TO: THOMAS & CARYN MAZZARELLI c/o JEFFREY PATANJO Please be advised that your application dated June 15, 2018 has been reviewed by this Board at the regular meeting of July 18, 2018 and your application has been approved pending the completion of the following items checked off below. xx Revised Plans for proposed project— Pre-Construction Hay Bale Line Inspection Fee ($50.00) 1St Day of Construction ($50.00) % Constructed ($50.00) xx Final Inspection Fee ($50.00) xx Dock Fees ($3.00 per sq. ft.) 30- Year Maintenance Agreement (complete original form enclosed and submit to Board of Trustees Office) xx The Permittee is required to provide evidence that the non-turf buffer condition of the Trustee permit has been recorded with the Suffolk County Clerk's Office as a notice covenant and deed restriction to the deed of the subject parcel. Such evidence shall be provided within ninety (90) calendar days of issuance of this permit. Permit fees are now due. Please make check or money order payable to Town of Southold. The fee is computed below according to the schedule of rates as set forth in Chapter 275 of the Southold Town Code. The following fee must be paid within 90 days or re-application fees will be necessary. You will receive your permit upon completion of the above. COMPUTATION OF PERMIT FEES: 4'x35' dock = 140 sq. ft.x $3.00 = $ 420.00 ` 14'x30" ramp = 35 sq. ft. x $3.00 = 105.00 6'x20' float = 120 sq. ft.x $3.00 = 360.00 3`1U TOTAL FEES DUE: $ 935.00 BY: Michael J. Domino, President Board of Trustees 299 J vJ . G 0 0 S E 0R EEK EXISTING ADJACENT DOCK -288 =2 97 -301 PROPOSED 20' LONG X 6' WIDE FLOATING DOCK —255 —264 73 SUPPORTED WTH (4) 10"0 PILES AND CROSS BRACES TO KEEP FLOAT MIN. 30" OFF SAND BOTTOM -2 3 -2.21 —2 31 PROPOSED ALUMINUM RAMP - 14' LONG X 30" WIDE -209 1.97 -1 83 PROPOSED FIXED ELEVATED PIER 60' LONG X 4' WIDE -1 87 - 33 -1 27 SUPPORTED WITH 8"0 PILES ® 8' O.C. (TYPICAL BOTH SIDES) IN SAME LOCATION AS EXISTING TO BE REMOVED - .81 %-0 89 -1.53 _ -057 REMOVE EXISTING FIXED BULKHEAD/PIER PRIOR TO CONSTRUCTION OF NEW PIER -0 85 •'4• / VEGETATED WETLANDS LOCATED AS LOCATED BY J. PATANJO ON 4-25-18 C _ •-M.L.W. .— i' IROPO\tED 9 LF BULKHEAD/PIER RETURN 31.5' �•� �. .� I. I EXISTING BULKHEAD DECK n 91 B 90.00' 4905614011E �_ — 0 C) PROPOSED 10' WIDE NON-TURF BUFFER I o o 1 � I #650 1 STORY �PLPRO Y E®, RESIDENCE 7 -60ARy ,DI T R , OFUSTEE , TOWN.-OF SOUTHOLD" DATE M to pE C E I V of l U `� CD AUG 2 0 2018 Southold Town _ — 90.00' — S49056'40"W O /A PROPERTY K AVENUE RTY OWNER: PREPARED BY: ti THOMAS MAllARELLI JEFFREY PATANJO CARYN MAllARELLI P.O. BOX 582 15 HIDDEN HOLLOW LANE BOHEMIA, NY 11716 is WATER DEPTH REFERENCED TO MLW AS MILLWOOD, NY 10546 '631-484-9332 IL.COM MEASURED BY J. HEIDECKER, L.S. 4/18 Proposed Pier Permit Plans SCALE: NOTES: 1"=20' 1. ELEVATIONS SHOWN REFERENCE MEAN LOWER LOW WATER VERTICAL DATUM PROPOSED PLAN DATE: 2. LOT AREA: 12,600 S.F. / 0.2893 ACRES 6-1-18 7-24-18 3. PORTIONS OF PLAN FROM SURVEY PREPARED BY: 650 OAK AVE 8-13-18 JOHN C. EHLERS LAND SURVEYOR SOUTHOLD TOWN OF SOUTHOLD 6 EAST MAIN STREET RIVERHEAD, NY 11901 SUFFOLK COUNTY, NY SHEET: SURVEY LATEST DATED 11-21-14 TAX MAP NO. 1000-77-1-2 1 of 2 PROPOSED THRU—FLOW DECKING OVER WETLAND LIMITS PROPOSED FIXED ELEVATED PIER 4' WIDE X 60' LONG W/ UN—TREATED DECKING / ///_ PROPOSED 8"0 CCA PILES (TYP.) 10 PROPOSED 30" WIDE X 14' LONG — 8 ALUMINUM HINDGED RAMP eo' PROPOSED 6' WIDE X 20' LONG FLOATING DOCK SUPPOORTED W/ 6 W/ (4) 10"0 CCA PILES — 4 EXISTING ECK 2To I O — — — .L.W EL .0.00± 30" MIN. —2 - —4 EXISTING CRADE — — — TYPICAL SECTION SCALE: H: 1"=20' V: 1"=2' - y3 { 650 Oak Avenue 5 ! i pS c v F B ` Q V • a' - o HfskofY+ive is r• Ci _Hgajrrt?vRdEz,_-- _.---- --- -_ Bd ayvimv Rd E>:t.___ ate,Gbogle - -- ----HBa"Yvrev�RdExi` p` Map dad 1;201 B Google Unned States Terms LOCATION MAP ® C� E D N.T.S. AUG 2 0 2018 Southold Town oa o Trustees FSECTION sed Pier Permit Plans SCALE: AS NOTED & LOCATION MAP DATE: 6-1-18 7-24-18 650 OAK AVE 8-13-18 THOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, NY SHEET: MAP N0. 1000-77-1-2 2 of 2 SURVEY OF SOUTHWESTERLY 112 OP PLOT NO, 281 N AND ALL OF PLOT NO5. 282,283,284 AND 285 AS SHOWN ON A CERTAIN MAP ENTITLED'MAP OF GOOSE BAY ESTATES" I FILED IN THE SUFFOLK COUNTY CLERK15 OFFICE ON NOVEMBER 13, 1934 W E AS MAP NO 1176 51TUATE: 50UTMOLD s TOWN: 50UTHO0 SUFFOLK COUNTY, NY SURVEYED 1 1-2 1-2014 I SUFFOLK COUNTY TAX# I 1000-77- I -2 I CERTIFIED TO: THOMAS M.MAZZARELLI CARYN M.MAZZARELLI WESTCOR LAND TITLE INSURANCE COMPANY i SOUTH BAY ABSTRACT,INC. I Isl I �a e� p p GOpJ O�OG;ri.= 1 °�°: ON CQ, co j 000� PCO DoT po lk 0 ;fro, \- '�, •y2���� a ° �a° '•�' 2� � lb2 ��J`',F' c °`. �O I apo p 0 2hrZ y P 0 G • � I F .0 I I 0 / � I FLOOD ZONE SHOWN ANNOTATED FROM F.I.R.M 3G 103COI GGH NOTES. llnaulnorl.N nll•rollm o atldll len to vy -O WOOD PENCE oo E•urmq a Ir,.nerd Imrd sarrreros stmt,n , o METAL FENCE JOHN C. E H LE R5 LAND 5 U RV EYO R �°F NEh' saa,-E, 2 n In•I �P�(7��q�c. <,nl.Cdv annr.Lnw CONC WALLS SHOWN HAVE L65 THAN I'REVEAL p� T 0, 'nly rnD's Tram Ilrny ow.w �rpmo of INc Y' ^rjw orY•lnIn OOr•'n"l,l lnelmnc s -,�5 - —�"- Sla•rneA �I sl,nll Ea nr NnrM to L•..y.Y Irrrn 6 EAST MAIN STREET N.Y 5 LIC. NO 50202 ur trnn al ene,ndrol••1ane.nrn yignrlr Intl Ince Area - 12 G00 5 Ft io ^d-ateP-1-ce In,Lanens r n'n nnl•I Area =0.2893 Acres RIVERHEAD, N.Y. I 1901 369-8288 Fax 369-8287 Cl- „4 a. er I New v sLav>;Dannon nl rrom,•innml GRAPH A In=2a Ionglslandlandsurveyor.eom I ��y o L,'a n. =;Ird rnrlrn „e I MI to Fne o venom iC•s vy rs r...... SjL� Q and .Noll 1�In•neo- ,mPnny gn..,`m.n- �V c_ 1 a•r,ry Dna lenen,�maa„I,m.nsl.d I. CAN SV `...4n. el I„.endmq n.nl„ann .,lar', 14-203 i naney,nNt la adtlnrn„nl.nrn JUN 1 5 �'--' 2018 '~Soutl of i Town 4 I fr I . IA OOL I W M 1 o Scalper �ff + I Unauthorized alteration or addition to this survey is a 0 10 20 30 violation of section 7209, subdivision 2, of the New York METERS State Education Low Copies of this survey map not bearing the HEIDECKER LAND SURVEYING FEET land surveyor's inked or embossed seal shall not be 0 20 40 ,, 60 80 considered to be a valid copy GRAPHIC SCALE 1" = 20' �h O Z, O �� °� M m Z 1b IV / _D 0 C�l Iry O� O + /� i 0 aQ> /r �A 61 \ y lb / �A) O � JUN 1 5 2018 Sn>>thold T��',•rn � ---B oard o{oard o{Tustees NOTES SECTION 77-BLOCK 1-LOT 2 � ' ti 1. FIELD WORK WAS CONDUCTED APRIL 12, 2018 BY HEIDECKER LAND SURVEYING, PLLC AND ALL DATE. MEASUREMENTS WERE TAKEN ON THE GROUND. T 7 JOHN GERD HEIDECKER NY STATE LAND SURVEYOR LIC # 050719 DATE BAT]KYM[ETRIC SURVEY EY SHEET NO 2 NORTH ARROW IS BASED UPON GPS OBSERVATIONS 751 COATES AVENUE MAY 1, 2018 1 OF 1 CONDUCTED BY HEIDECKER LAND SURVEYING, PLLC. 3 ELEVATIONS SHOWN REFERENCE MEAN LOWER LOW HOLBROOK, NEW YORK 11741 DRAWN BY B.M SECTION 70—BLOCK 6—TAX LOT 29.1 PROJ. NO. WATER VERTICAL DATUM (631)-772-9604 CHK BY J.H 650 OAK AVENUE 18HLS51 lheidecker@heideckerls com TOWN OF SOUTHOLD CAD FILE: SCALE. 1"= 20' 1 SUFFOLK COUNTY NEW YORK 1SHLS51 FP DWG Michael J.Domino,Presidt �; O�OS11FF0(k�oG Town Hall Annex John M. Bredemeyer III,Vice-Presiuent 54375 Route 25 Glenn GoldsmithN P.O.Box 1179 ze A.Nicholas Krupski Southold,NY 11971 Greg Williams '1' p! Telephone(631)765-1892 Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Date/Time: 1 9 Completed in field by: Jeffrey Patanjo on behalf of THOMAS & CARYN MAZZARELLI request a Wetland Permit to remove storm damaged dock; in same location as existing construct a proposed 4'x35' fixed dock supported with 8" diameter piles using untreated decking; install a 30"x14' aluminum ramp; install a 6'x20' floating dock using untreated decking and supported with four (4) 10" diameter piles with cross braces to keep the float a minimum of 30" off sand bottom at all times. Located: 650 Oak Avenue, Southold. SCTM# 1000-77-1-2 CH. 275-3 - SETBACKS WETLAND BOUNDARY: Actual Footage or OK=� Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool (cesspool): 100 feet 4. Septic Tank: 75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening: 50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool (cesspool) 100 feet: 4. Swimming pool and related structures: 100 feet Public Notice of Hearing Card Posted: Y / N Ch. 275 Ch. 111 SEQRA Type: 1 II Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency Violation Non-Jurisdiction Survey <_ 5 years: Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside review/consultant/application completeness/comments/standards: lxgy— /wet - _ -�-� I have read & acknowledged the foregoing Trustees comments: G Agent/Owner: _ r/ 6-"�A '�-2 Q- ' , - Present were: J. Bredeme er tI. Domino ` 15 Goldsmith N. Kru ski Y p G. Williams Other ` i ,150 Oak Avenue,Southold 1000-77-1-2 7/11118 I T dilk F *� 7 / 11 / 2018 11 : 12 , �V f, r, 1 Y W 64 0 ro- . L r..,, r .�.�,. � ;� •.. v� � �- „ •'.vim � _ �, � F � _ . � ma m } r' • E^ `M, _ 7 / 11 /2018, ,,.- 11 . 12 ii { l 1 z � - - - -AM Ar Photo 1 (4/18) AW w� -tea q R w 41 a `- Photo 2 (4/18) _ J 1 Photo 3 (4/18) Photo 4 (4/18) N 5• ma t° // �;� `�•`�`..i .•` ,,� -�--" -------1 1st 19 14 • -_g ml- / 2] p ----- ___29_ ', t.21(.) _ A ___ _______ b ____ - ------- -- w_____ ------ ------- ___w______�- 121 25 _ CRY ^ AVE __ ____ s w '� - .:.� • ...tee...... _.. ... -.. _.__.--._ _ COUNTY OF SUFFOLK © K n y SEC770N NO �. .«.. .v- ..-. . ., " .— ••w.arta.n Rent Plpper{y Tax Sernce Agency m w rovr .vn.�. .�Ea 77 eN 1 August 14, 2018 Town of Southold Trustees Town Hall Annex Building E 54375 Rte. 25 P.O. Box 1179 AUG 2 0 2018 Southold, New York 11971 RE: 650 OAK AVE—SOUTHOLD Southold Town SCTM No. 1000-77-1-2 r REVISED PLANS—SECOND SET Dear Trustees: Attached please find four(4) copies of revised plans per comments addressed during the July 18, 2018 public hearing. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, yeffreyatanjo P.O. Box 582 Bohemia, NY 11716 I OFFICE LOCATION: ®� S® y®� MAILING ADDRESS: Town Hall Annex ® P.O. Box 1179 54375 State Route 25 41 41 Southold,NY 11971 (cor.Main Rd. &Youngs Ave.) css Southold,NY 11971 ell- ® a� Telephone: 631 765-1938 ® Fax: 631765-3136 ��cOUIVTY,�� LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To: Michael Domino, President Town of Southold Board of Trustees From:• Mark Terry, LWRP Coordinator Date: June 18, 2018 Re: LWRP Coastal Consistency Review for THOMAS & CARYN MAZZARELLI SCTM# 1000-77-1-2 Jeffrey Patanjo on behalf of THOMAS & CARYN MAZZARELLI request a Wetland Permit to remove storm damaged dock; in same location as existing construct a proposed 4'x35' fixed dock supported with 8" diameter piles using untreated decking; install a 30"x14' aluminum ramp; install a 6'x20' floating dock using untreated decking and supported with four(4) 10" diameter piles with cross braces to keep the float a minimum of 30" off sand bottom at all times. Located: 650 Oak Avenue, Southold. SCTM# 1000-77-1-2 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is INCONSISTENT with LWRP Policy 6, specifically 6.3 (below) and therefore, INCONSISTENT with the LWRP. The following needs to be addressed. 6.3 Protect and restore tidal and freshwater wetlands. A. Comply with statutory and regulatory requirements of the Southold Town Board of Trustees laws and regulations for all Andros Patent and other lands under their jurisdiction 1. Comply with Trustee regulations and recommendations as set forth in Trustee permit conditions. A permit(1121) for the dock was issued in 1976. The deck that appears to be included as a part of the dock never received a permit. The total distance of the dock is unknown when considering the "deck". § 275-11. Construction and operation standards. The applicant must demonstrate that the following dock standards pursuant to § 275-11. Construction and operation standards have been met. (d) Review and approval of dock applications. Before issuing a permit for a dock structure, the Trustees shall consider whether the dock will have any of the following harmful effects: I (2] Whether the dock will unduly interfere with the public use of waterways for swimming, boating, fishing, shellfishing, water'skiing and other water-dependant activities; The application does not correctly show the dock line with proposed vessel or discuss the 1/3 rule. (5] Whether the dock will cause degradation of surface water quality and natural resources, Water depths are shallow in the area and may not be conducive to the operation of vessels capable of disturbing bottom sediments and increased turbidity. [11] Whether the cumulative impacts of a residential and commercial dock will change the waterway or the environment and whether alternate design, construction, and location of the dock will minimize cumulative impacts, and ('12] Whether adequate facilities are available to boat owners and/or operators for fueling, discharge of waste and rubbish, electrical service and water service. 9.3 Preserve the public interest in and use of lands and waters held in public trust by the state and the Town of Southold. A. Limit grants, leases, easements, permits or lesser interest in lands underwater in accordance with an assessment of potential adverse impacts of the proposed use, structure, or facility on public interest in public lands under water. The applicant enjoys access to public waters via an existing dock. The seaward extension of the dock results in a net decrease or impedance of public access to underwater lands and waters. Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Peter Young,Chairman ti Town Hall,53095 Main Rd. Lauren Standish,Secretary P.O.Box 1179 Southold,NY 11971 7/ Telephone(631)765-1889 Fax(631)765-1823 Conservation Advisory Council Town of Southold At the meeting of the Southold Town Conservation Advisory Council held Wed., July 11, 2018 the following recommendation was made: Moved by Peter Meeker, seconded by Caroline Burghardt, it was RESOLVED to SUPPORT the application of THOMAS M. & CARYN M. MAZZARELLI for the removal of existing storm damaged pier and replacement with new 4'X 35' fixed pier supported with 8" dia. piles and untreated decking, installation of 30"X 14' long aluminum ramp and installation of 6'X 20' floating dock with untreated decking supported with 4-1" dia. piles with cross braces to hold float off sand bottom at min. of 30" at all times. Located: 750 Oak Ave., Southold. SCTM#77-1-2 Inspected by: Caroline Burghardt, Peter Young, Peter Meeker The CAC Supports the application with Thru-Flow decking on the fixed dock. Vote of Council: Ayes: All Motion Carried %0f so �o Town Hall Annex Michael J.Domino,President O l® te 25 John M.Bredemeyer III,Vice-President 54376 Rou P.O.Box 1179 Charles J.Sanders :Q1= Southold,New York 11971 Glenn Goldsmith y® Telephone(631) 765-1892 A.Nicholas Krupski ®��c®UNV'�� Fax(631) 765-6641 f BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD This Section For Office Use Only Coastal Erosion Permit Application Wetland Permit Application Administrative Permit endment/Transfer/Extensi n �� - ,L_Received Application: l/ Received Fee: $ Ys , Completed Application: � _ (� Incomplete: / i; 11 -. SEQRA Classification: Type I_ Typell V Unlisted " JUN 1 5 201 Lead Agency Determination: i 74T Coordinationate sent): G ---- --- ' LWRP :(dConsistency Assessment Form Sent: �6'`d Board fl�!r t CAC Referral Sent: �iZ '/F M _� Date of Inspection: 7� Receipt of CAC Report: Technical Review: — Public Hearing Held: b<< Resolution: Legal Name of Property Owner(s): -'T_h o M a s M• e a r y,, AAAAe. `L a m-C e M Mailing Address: IS Hidde►, Ho1Ia..s Lone AA , IIWe*,A , iJ'( 10 s`16 Phone Number: 9 1 7- 6 6 3-69 3 4 Suffolk County Tax Map Number: 1000- ? 7 - I - Z Property Location: b S° Vo.1L ,j v e - 5o,, +t4-0 5 tc f_0j,a-t-j a4 Ma e (If necessary, provide LILCO Pole#, distance to cross streets, and location) AGENT (If applicable): --J-e �4 Qa-t7g tij.� — Mailing Address: P fl • Q o X S$a 13 o hero1 a, N y 11 71,4 Phone Number: & 31- q d Y ' 9 3 3, - Board o£ Trustees App3.ic_ on GENERAL DATA Land Area(in square feet): l d 6 b 0 Area Zoning: R e S Previous use of property: 2a S Intended use of property: PCs. Covenants and Restrictions on property? Yes No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes",be advised this application will be reviewed by the Building Dept. prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes No If"Yes", please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ✓ No Does the structure(s)on property have a valid Certificate of Occupancy? ✓ Yes No Prior permits/approvals for site improvements: Agency Date Te., s-r«s P"C.tL.— No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? ---'No Yes If yes,provide explanation: Project Description(use attachments if necessary): i Thomas M. & Caryn M. Mazzarelli 650 Oak Ave Southold,NY 11971 SCTM No.: 1000-77-1-2 Project Description Project includes the removal of existing storm damaged pier and replacement with new 4' wide x 35' long fixed pier supported with 8" diameter piles and un-treated decking, installation of 30" wide x 14' long aluminum ramp and installation of 6' wide x 20' long floating dock with un- treated decking supported with 4— 1-" diameter piles with cross braces to hold float off sand bottom a minimum of 30" at all times. Hoard of Trustees Applic - -,Lon WETLANDITRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: Ste %+t c c 4 e J_ Area of wetlands on lot: S VV '— square feet Percent coverage of lot: 6 -a + Closest distance between nearest existing structure and upland edge of wetlands: S feet Closest distance between nearest proposed structure and upland edge of wetlands: S feet Does the project involve excavation or filling? No Yes If yes,how much material will be excavated? '" cubic yards How much material will be filled? N 1,9 cubic yards Depth of which material will be removed or deposited: ,,Jq feet Proposed slope throughout the area of operations: "' J'4 Manner in which material will be removed or deposited: -1,4 Statement of the effect, if any,-on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): "P ti4 rc w t I l t o F/r c I' -E'a w e-H 4.n P S • +0 WOAAC w%11 e(wwftAto F Wk-'W( $4-1W1 tiVle-elkneQS -1 fee^.$. i Short Environmental Assessment Form Part 1 -Project Information Instructions for Completing Part 1-Project Information. The applicant or project sponsor is responsible for the completion of Part 1. Responses become part of the application for approval or funding,are subject to public review,and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency;attach additional pages as necessary to supplement any item. Part 1-Project and Sponsor Information Name of Action or Project: 650 Oak Ave-Southold Project Location(describe,and attach a location map): 650 Oak Avenue-Southold Brief Description of Proposed Action: Remove damaged pier and install new 4'wide x 35'long fixed pier with 30"wide x 14'long aluminum ramp and 6'wide x 20'long floating dock supported with 4-10"diameter piles and cross braces to hold float off bottom a minimum of 30"at all times Name of Applicant or Sponsor: Telephone: 917-683-6934 Thomas M.&Caryn M Mazzarelli E-Mail: tom.mazarelli@yahoo.com Address: 15 Hidden Hollow Lane City/PO: State: Zip Code: Millwood NY 10546 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regulation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: ❑ ❑ NYSDEC/NYSDOS/Army Corps/Town of Southold Trustees 3.a.Total acreage of the site of the proposed action? 0 289 acres b.Total acreage to be physically disturbed? 0 01 acres c.Total acreage(project site and any contiguous properties)owned or controlled by the applicant or project sponsor? 0.289 acres 4. Check all land uses that occur on,adjoining and near the proposed action. ❑Urban ❑Rural(non-agriculture) []Industrial ❑Commercial 0Residential(suburban) El Forest ❑Agriculture ❑Aquatic [3 Other(specify): ❑Parkland Page 1 of 3 5. Is the proposed action, NO YES N/A a.A permitted use under the zoning regulations? ❑ ❑✓ ❑ b. Consistent with the adopted comprehensive plan? ❑ ❑✓ ❑ 6. Is the proposed action consistent with the predominant character of the existing built or natural NO YES landscape? ❑ ❑✓ 7. Is the site of the proposed action located in,or does it adjoin,a state listed Critical Environmental Area? NO YES If Yes,identify:Name:Goose Creek,Name Peconic Bay and Environs,Reason:Significant coastal fish&wildlife habitat, Eleason: ro ec public health,water,vegetation, scenic eau Agency Southold, own of, oerrn S iffoHrFrnmfo-B. 8. a.Will the proposed action result in a substantial increase in traffic above present levels? NO YES r7l Il b.Are public transportation service(s)available at or near the site of the proposed action? ✓❑ ❑ c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? El 9.Does the proposed action meet or exceed the state energy code requirements? NO I YES If the proposed action will exceed requirements,describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water: 171 ❑ 11.Will the proposed action connect to existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: [7] ❑ 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic NO YES Places? 7 ❑ b.Is the proposed action located in an archeological sensitive area? ❑ ❑✓ 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? ❑ ❑✓ b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? ❑ If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: EZI— Fixed pier/ramp/floating dock 260 s.f. 14. Identify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: ❑Shoreline ❑Forest ❑Agricultural/grasslands ❑Early mid-successional ❑ Wetland ❑Urban m Suburban 15.Does the site of the proposed action contain any species of animal,or associated habitats,listed NO YES by the State or Federal government as threatened or endangered? Piping Plover ❑ ❑ 16.Is the project site located in the 100 year flood plain? NO YES TT 1V/1 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a.Will storm water discharges flow to adjacent properties? ❑NO YES ❑✓ ❑ b.Will storm water discharges be directed to established conveyance systems(runoff and storm drains)? If Yes,briefly describe: F]NO ❑YES Page 2 of 3 13.Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO -YES solid waste management facility? If Yes,describe: © ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste? If Yes,describe: n ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF My KNOWLEDGE Applicant/sponso Thomas M.&99W relli _ Date: �J"c r° 20 lS Signature: PRINT FORMA Page 3 of 3 18. Does the proposed action include construction or other activities that result in the impoundment of NO YES water or other liquids(e.g.retention pond,waste lagoon,dam)? If Yes,explain purpose and size: ❑ ❑ 19.Has the site of the proposed action or an adjoining property been the location of an active or closed NO YES solid waste management facility? If Yes,describe: ❑ ❑ 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES - ----completed)for-hazardous-waste?--- If or-hazardous-waste?—If Yes,describe: ❑ ❑ I AFFIRM THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: Signature: Part 2-Impact Assessment. The Lead Agency is responsible for the completion of Part 2. Answer all of the following questions in Part 2 using the information contained in Part 1 and other materials submitted by the project sponsor or otherwise available to the reviewer. When answering the questions the reviewer should be guided by the concept"Have my responses been reasonable considering the scale and context of the proposed action?" No,or Moderate small to large impact impact may may occur occur I. Will the proposed action create a material conflict with an adopted land use plan or zoning ❑ regulations? 2. Will the proposed action result in a change in the use or intensity of use of land? 3. Will the proposed action impair the character or quality of the existing community? 4. Will the proposed action have an impact on the environmental characteristics that caused the Elestablishment of a Critical Environmental Area(CEA)? 10 5. Will the proposed action result in an adverse change in the existing level of traffic or ® ❑ affect existing infrastructure for mass transit,biking or walkway? 6. Will the proposed action cause an increase in the use of energy and it fails to incorporate ❑ reasonably available energy conservation or renewable energy opportunities? 7. Will the proposed action impact existing: a.public/private water supplies? b.public/private wastewater treatment utilities? 8. Will the proposed action impair the character or quality of important historic,archaeological, ❑ architectural or aesthetic resources? 9. Will the proposed action result in an adverse change to natural resources(e.g.,wetlands, ❑ waterbodies,groundwater,air quality,flora and fauna)? Page 3 of 4 No,or Moderate small to large impact impact may may occur occur 10. Will the proposed action result in an increase in the potential for erosion,flooding or drainage ❑ problems? 11. Will the proposed action create a hazard to environmental resources or human health? El Part 3-Determination of significance. The Lead Agency is responsible for the completion of Part 3. For every question in Part 2 that was answered"moderate to large impact may occur",or if there is a need to explain why a particular element of the proposed action may or will not result in a significant adverse environmental impact,please complete Part 3. Part 3 should,in sufficient detail,identify the impact,including any measures or design elements that have been included by the project sponsor to avoid or reduce impacts. Part 3 should also explain how the lead agency determined that the impact may or will not be significant.Each potential impact should be assessed considering its setting,probability of occurring, duration,irreversibility,geographic scope and magnitude. Also consider the potential for short-term,long-term and cumulative impacts. Check this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action may result in one or more potentially large or significant adverse impacts and an environmental impact statement is required. ElCheck this box if you have determined,based on the information and analysis above,and any supporting documentation, that the proposed action will not result in any significant adverse environmental i pacts Town of Southold-Board of Trustees it q Ap" Name Date President Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer ignature of RespoliVible Officer in Lead Agency Signature of Preparer(if different from Responsible Officer) PRINT Page 4 of 4 EAF Mapper Summ...1, Report Monday, June 04, 2018 8:12 PM Disclaimer: The EAF Mapper is a screening tool intended to assist project sponsors and reviewing agencies in preparing an environmental assessment form(EAF) Not all questions asked in the EAF are i answered by the EAF Mapper Additional information on any EAF .7300= Board of Trustees Avplication —FnoMa S &k CAr4y% &Aei-2f-4rcC BEING]DULY SWORN ]DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF]HSI HER KNOWLEDGE AND BELIEF,AND THAT ALL WORK WILL BE]DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLID TOWN BOARD OF TRUSTEES. THE APPLICANT,AGREES TO HOLD THE TOWN OF SOUTHOLID AND THE BOARD OF TRUSTEES HARMLESS AND FREE FROM ANY AND ALL]DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S)OR REPRESENTATIVES,INCLUIDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY]PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAIL,INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONIDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES]DURING THE TERM OF THE]PERMIT. n Sign re of Property Owner Signa e P p rty O , SWORN TO BEFORE NSE'THIS _ DAY OF v ,20 I / PEGGY M. BURLEY Notary Public, State of New York ota li Qualified in Ulster County No.4761923 Commission Expires August 31, 20 Berard of Trustees Application AUTHORMATION (Where the applicant is not the owner) I/We, 1 1�ciw�► s N-k. Ca ry" AA• - owners of the property identified as SCTM# 1000- -7-7 - I " 2- in the town of S a 'jk- li,'AA rA ,New York,hereby authorizes --,-T-e F Fr4 ti A —t7 t o )'-0 to act as my agent and handle all necessary work involved with the application process for permit(s)from the Southold Town Board of Trustees for this property. Property Owner's Signature Pro e ' Signa4e SWORN TO BEFORE ME-1 _/ DAY OF _�`„"P- 720 _ St PEGGY BURLEY Notary Public, State of New York Qualified in Ulster County No. 4761923 t Public Commission Expires August 31, 20 APPLICANT/AGENT/REPRESENTATIVE TRANSACTIONAL]DISCLOSURE FORM The To1ym of Southold's Code of Ethics prohibits conflicts of intcre,t on the part of town officers and empinvees.Theow nose of this form is to provide information which can alert the town of possible conflict!-,of interest and allow it to tale whatever action is necessary to avoid sante`. YOUR NAME: 1—l 4 -2— e4!C 1(t '( d^o n1•s S M_ (Last name,first name,ipiddle initial,unless you are applying to the name of someone else or other entity,such as a company.if so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map _ Planning _ Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with'my officer or employee of the"rows of Southold? "Relationship''includes by blood,marriage,or business intere;a."Business interest means a busi gas., including a partnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than 5%of the shares. YES _ NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person — Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%ofthe share,;of the corporate stock of the applicant (when the applicant is a corporation), B)the legal or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corpordtion)', C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of 1�° 20 a Signature__ _ Print Name Form TS 1 APDL I CA..RT/A GENT/ PR ESENTAT TRANS-A T1IONAL]DISC .OSUM FORM The Town of Southold's Cade of Ethics prohibits conflicts of interest on the part of town officers and emnloyees.The ow nose of this form is to provide inforination which can alert the town of possible conflicts of interest and allow it to take whatever action is necessary to avoid same. /t YOUR NAME: ZA g (Last name,first name,V fiddle initial,unless you are applying in the name of someone else or other entity,such as a company.if so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee ff Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map _ Planning _ Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)have a relationship with any officer or employee of the Town of Soudiald? "Relationship"includes by blood,marriage.or business interest."lousiness interest"means a busines-, including apartnership,in which lha town officer or employee has even a partial ownership of(or employment by)a co potation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicanttagent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%u ofthe shams of the corporate stock of the applicant (when the applicant is a corporation); B)the legal or beneficial o,,mcr of any interest in a non-corporate entity(when the applicant is not a corporation), C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 1! day of 20 Signature_ Print?dame— i�491ALZZAfo—k-�- Form TS 1 t1 I I I APPLICANT/AGENUREPRESEN'I'ATIVE TRANSACTIONAL DISCLOSURE FORM The Town of Southold's Code of Ethics prohibits conflicts of interest on the part of town officers and employees 'the nurnose of this form is to provide inforination which can alert the to of poasible conflicts of interest and allow it to take whatever action rs necessaa to avoid same. YOUR NAME: (Last name,first name,giiddle initial,unless you aile applying in the name of someone else or other entity,such as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee r Change of Zone Coastal Erosion Approval of plat Mooring Exemption from plat or official map Planning Other (If"Other",name the activity.) Do you personally(or through your company,spouse,sibling,parent,or child)havert relationship with my officer or employee of the Town of Southold? "Relationship"includes by blood,nlarriage,or business interest."Business interest"means a business, including apartnership,in which the town officer or employee has even a partial ownership of(or employment by)a corporation in which the town officer or employee owns more than S%of-the shares. YES NO J I if you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person I Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): I A)the owner of greater than 5%or-the shares of the corporate stock of the applic@nt (when the applicant is a corporation); B)the legal,or beneficial owner of any interest in a non-corporate entity(when the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this 4 day f ?-n e- 2019 Signature Print Name Form TS 1 a f S�FFO�� Michael J. Domino,President . O�Q CSG Town Hall Annex John M.Bredemeyer III,Vice-President b�ti� y� 54375 Route 25 Glenn Goldsmith C2 P.O.Box 1179 A.Nicholas Krupski T Southold,NY 11971 Greg Williams y p! Telephone(631)765-1892 "70 � Fax(631)765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD --------------------------------------------------------------- In the Matter of the Application of THOMAS & CARYN MAZZARELLI COUNTY OF SUFFOLK STATE OF NEW YORK AFFIDAVIT OF POSTING TO BE COMPLETED AFTER POSTING REMAINS IN PLACE FOR AT LEAST SEVEN DAYS PRIOR TO THE PUBLIC HEARING DATE I, Jeffrey Patanjo , residing at/dba PO Box 582,Bohemia,NY 11716 being duly sworn, depose and say: That on the 0,0 day of July , 2018 , I personally posted the property known as 650 Oak Ave, Southold,NY 11971 SCTM# 1000-77-1-2 by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held Wednesday,July 18,2018. Dated: .��� � I a 04 ('k�_ YgnUture) Sworn to before me this /0 day of July 2018 MARILYN S.HICKS NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 H16365489 Notary li Qualified in Suffolk County Commission Expires n'c'a;:.sr 10,2021 p J \ A PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Name: Address: --— — ------------- - --- --- --SCTM#1000-77-1-15 — - -- SCTM#1000-77-1-1 Cimino, Peter L Coady,Debra A Cimino, Loretta E Reilly, Patricia A 725 Oak Ave 38 Frazer Dr Southold, NY 11971 Greenlawn, NY 11740 SCTM#1000-77-1-3 SCTM#1000-77-1-16 Kophen James W Trust Brown, David S C/O GlennaRyan Brown, Elizabeth M 31 High Pine Cir 35-Van-Nostrand PI East Longmeadow, MA 01028 Amityville, NY 11701 STATE OF.NEW YORK COUNTY OF SUFFOLK Jeffrey Patanjo ,residing at P.O. Box 582,Bohemia,NY 11716 being duly sworn,deposes and says that on the /0 day of July , 2Q 18 ,deponent mailed a•true copy of the Notice set forth in the Board of Trustees Application,directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set �^ opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at$Q14r- .Adl IN that said Notices were mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. f Sworn to before me this Ti Day of_july ,20 18 — MARILYN S.HICKS [NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 HI6365488 duaitfied in Suffolk County ommission Expires October 10,2021 Not Publfc ! .,ostal Ser;.vice TNI CERTIFIED MAILP RECEIPT ®. • p -E6 - t EAST J, RRP1R 01,U2 t APII TY II %idll 101 s'£t o �: - i.E !t tx ::<t i Q- i a r Y Cr Certified Mall Fee F$ •45 Er Certified Mad Fee $3.4Ge e n 071 d )T Extra Services&Fees(check box,add ree pp/gpQate) CJ®iiz-7 75 �,a`' Er bra Services&Fees(check box,^edd ree s : ate) 'SRV ll�e�l�t ❑RetumReceipt(hanicopy) $ ❑Return Receipt(hardcopy) $ �!fy• � r-3 ¢ttfy t7 �� C3 ❑ Return Receipt(electronic) $ �-es ❑Return Receipt(electronic) $ !t■UD POstm k p 1I� Postmark p �^ E]Certified Mall Restricted Delivery $ 4:��t_,_,_,1._fl�_ Here p ❑Certified Mad Restricted Delivery $ ,r�(� m p ` a) [:]Adult Signature Required $ $113.00— E:3 []Adult Signature Required $ $ & ® 5 p �'b []Adult Signature Restricted Delivery$ []Adult Signature Restricted Delivery$ C] C3 Postage ! ))p Postage Ln $0.50 9I �! Ln $ $0,.5 �,' 1 $ - - 07/1 - fl3_ Total Postage and Fm---- -- rr-1 Total Postageandp-- S r-I $fj.70 SCTM#1000-77-1-3 $ ;$6,70 SCTM#1000-77��� r- Sent To Brown, David S r- $ ent To Kophen James W Trust r9r-I I C/O Glenna Ryan C3 $fheetanifAT No:; Brown, Elizabeth M C3SfieeiandApf.lffo; 31 High Pine Cir r%- 35 Van Nostrand PI ry-------------•• C�fy,Stafe;ziNjoll Amityville, NY 11701 East Longmeadow,MA 01028 a ,State,ZIP+4 • • ■ • ■ ® C . ■ TIFIE ■ •. •CO. 0 • GftEEdAltfilY1Cr- I W7 IV W `aa § r �, s`N`3 ;_3 �; L. Cr Certified Mail Fee 0 Certified Mall Fee $3.45 e 5 Er%- Er • L $ 20 Extra Services&Fees(check box,add fee t nate) Extra SeNloes&Fees(check bar,add fee p ta) ❑Return Receipt(hardcopy) $ (n ®■ ❑ Return Receipt(hardcopy) $ •'+ p ❑Return Receipt(electronic) $n> n POsti�k C3 ❑Return Receipt(electronic), $ -�irt P al� o Q ❑Certified Mail Restricted Delivery $ rse_ C-3 ❑CertHied Mall Restricted De1Nery $ ��t —nit p []Adult Signature Required $ C3 []Adult Signature Required $ — � ❑Adult Signature Restricted DelWery$ n��`` r ❑Adult Signature Restricted Delivery$ ,`` C3 Postage $Lt.50 `7 Y I C3 FSent ge $ .50 /t IN`� $ Le L, ---—07l10/7018- u7 n7/�0/201 t — 1 Total Postage and F— —__- -_- Postage and F- - ---- -- $ 6'7Q SCTM#1000-77-1-1 $6.70 SCTM#1000-77-1-15 �-Sent To i Coady, Debra A r- ro Cimino, Peter L i 1 p sieaia;,dApr:No: Reilly, Patricia A _ Cimino, Loretta E _ C3 srreeiandApr.No. 38 Frazer Dr N 725 Oak Ave � crry,-siaie;ziP+-a, Cary$tat®;,ZIP+4a Southold, NY 11971 Greenlawn, NY 11740 I "' :eo i PROOF OF MAILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS ? Y :P?, ,e ':;:��;'-��'�,�. ,�-, _,.....;-,,,_== ,• >;�.�,s�:• _� SST Name: t `mss'',':�.��'Y';r ♦/•;`;;'��°,/Y.:''f,tzi`r..y,' _ ^�:.�.` .-�r� , „'i4i . .'i±i-y.„_ ,.iii ^�+ .:!• �.L 'l ..;u3-tt.n �'�`..r ��"y�'i"�'s' iti.•i:�,`:r`.>. r ,u����;tii'�t,�t C,.F`.�`�.�,:5://" `- :4, �In v��, STATE OF NEW YORK COUNTY OF SUFFOLK residing at being duly sworn, deposes and says that on the day of , 20__, deponent mailed a-true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at . that said Notices were,mailed to each of said persons by CERTIFIED MAIL/RETURN RECEIPT. 1 Sworn to before me this Day of , 20 i i i Notary Public i July 12, 2018 Town of Southold Trustees Town Hall Annex Building C ,E V E 54375 Rte. 25 P.O. Box 1179 JUL 1 7 201 LJ Southold, New York 11971 RE: 650 OAK AVE—SOUTHOLD Southold Town SCTM No. 1000-77!.1-2 Board of Trustees AFFIDAVITS Dear Trustees: Attached please find Affidavits of Mailing and Posting as required for public hearing. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, e J rey Patanjo P.O. Box 582 Bohemia, NY 11716 NUTIL 't. Uim Ht: AKING NOTICE IS HEREBY GIVEN that a Public Hearing will be held by the Southold Town Board of Trustees at the Town Hall, 53095 Main Road, Southold, New York, concerning this property. OWNER(S) OF RECORD: THOMAS & CARYN MAZZARELLI f SUBJECT OF PUBLIC HEARING : For a Wetland Permit to remove storm damaged dock; in same location as existing construct a proposed 4'x35' fixed dock supported with 8" diameter piles using untreated decking; install a 30"x14' aluminum ramp; install a 6'x20' floating dock using untreated decking and supported with four (4) 10" diameter piles with cross braces to keep the float a minimum of 30" off sand bottom at all times. Located: 650 Oak Avenue, Southold. SCTM# 1000-77-1 -2 TIME & DATE OF PUBLIC HEARING : Wednesday, July 18, 2018 - at or about 5 :30P. M . If you have an interest in this project, you are invited to view the Town file(s) which are available for inspection prior to the day of the hearing during normal business days between the hours of 8 a.m. and 4 p.m. BOARD OF TRUSTEES * TOWN OF SOUTHOLD * (631) 765-1892 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits* including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list, policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed action will be evaluated as to its significant beneficial and adverse effects upon the coastal area(which includes all of Southold Town. 3: If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be exRlaiuM in detail, listing both sunnortiinu and non- supporting facts. If an action cannot be certified as consistent with the LVW policy standards and conditions,it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# -7 -7 - I - 2 PROJECT NAIL G S o O a le- A V-e S o,.A-In r l& P i-e /L- The LThe Application has been submitted to(check appropriate response): Town Board ❑ Planning Board❑ Building Dept. ❑ Board of Trustees 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g. capital ❑ construction,planning activity,agency regulation,land transaction) ❑ (b) Financial assistance(e.g. grant,loan,subsidy) (c) Permit, approval,license,certification: Nature and extent of action: Location of action: So 0^.[L Ave- , Site acreage: o • ;L X 9 Present land use: S Present zoning classification: f2e S 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: TA • h S ^A. C 4✓tl AA- AA %-7 a' ✓� ll �. (b) Mailing address: 1 S 14,aP cPe h 14o l/a*J C*07 C- (c) Telephone number: Area Code( q 17 - 6,T (d) Application number,if any: �} Will the action be directly undertaken,require funding,or approval by a state or federal agency? Yes F�acNo❑ If yes, which state or federal agency?.N4 5094,%A4160 1141Z•K,Lf COA40s C. Evaluate the project to the following policies by analyzing how the project will further-support or not support the policies. Provide all proposed Best Management Practices-that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy 1. Poster a pattern of development in the Town of Southold that enhances community character, preserves open space, snakes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LWRP Section III-Policies; Page 2 for evaluation criteria. aYes leo ❑ Not Applicable P�o�.c-( i►a c�{[o 1 � roc�•u�L. �+sc ..f -e/�lS7�•+y G.au7-l.a�+ ar.Y.�¢ /?��acet re V Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWRP Section III-Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No E Not Applicable Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the 'Town of Southold. See LWRP Section III—Policies Pages 6 through 9 for evaluation criteria H�YYes [-1 No ❑ Not Applicable Pra-eco Pr.y.tfet 2 ivCw Xe/L- 44P npe te< e-yLSore iN tt'f 6.e e f CA-t YC w-rAt Attach additional sheets if necessary NA'li'ITIIIAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources_from flooding and erosion. See LWRj? Section III—Policies Pages 8 through 16 for evaluation criteria Yes ❑ Ivo ❑ Not Applicable ers-1.ef-A wilt efo.i(aDc Aj&1> :1-t-f&It-61 J< -th"-r &-lit Ir-L5i'S-+* 5-ter• %. OCuMwgG Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of Southold. See LWI2P Section III —Policies Pages 16 through 21 for evaluation criteria F1 Yes ❑ Ivo ��Ivot Applicable Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the 'Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LVV P Section III[--Policies; Pages 22 through 32 for evaluation criteria. ❑ ❑ Yes No Not Applicable Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LWRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes ❑ No Not Applicable Attach additional sheets if necessary Policy S. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. -See LWIIP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No 2Not Applicable PUBLIC COAST POLICIES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. nn Er Yej-1 No❑ Not Applicable — PrVet{ w l�awS T+V/L- Iio.4-rl Ay -VA Q 4.141-1 -tl-eJS 4. wt-(-tiL s Attach additional sheets if necessary a WORKING COAST POLICIES Policy 10. Protect Southold°s water-dependent uses and promote siting of new water-dependent uses in suitable locations. See LWRP Section III•-Policies; Pages 47 through 56 for evaluation criteria. ❑Yes ❑ No [�Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living amarine resources in Long Island Sound, the Peconic Estuary and 'Town waters. See LWRP Section III-Policies; Pages 57 through 62 for evaluation criteria. ❑Yes ❑ No E lot Applicable Attach additional sheets if necessary Policy 12. Protect agricultural lands in the 'Town of Southold. See LVVRP Section III-Policies; Pages 62 through 65 for evaluation criteria. F1 Yes Elev No L_ T Not Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LAIRP Section III-Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No D'Not Applicable PREPARED BY P..-r.�� 1 'TITLE --4 y sn+ DATE, 1- 4 - 19 May 14, 2018 Town of Southold Trustees Town Hall Annex Building 54375 Rte. 25 P.O. Box 1179 Southold, New York 11971 RE: 650 OAK AVE-SOUTHOLD SCTM No. 1000-77-1-2 APPLICATION FOR PERMIT Dear Trustees: We hereby submit one (1) original and three (3) copies of the proposed plans, application and check for permit approval for the above referenced project. If you should have any questions or require anything further, please do not hesitate to call me at 631-484-9332. Very truly yours, )effirey Patanjo P.O. Box 582 Bohemia, NY 11716 LE JUN 1 ';� I # 5 2018 ! Sm'!hnl— —d T,vn